Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,166.29 / $1,619.21 / $1,619.21	Facility		$1,166.29	$1,619.21	$1,619.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.08 / $943.93 / $1,343.35	Professional		$639.08	$943.93	$1,343.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $913.06 / $913.06 / $1,861.20	Facility		$913.06	$913.06	$1,861.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.06 / $2,241.00 / $2,801.25	Professional		$913.06	$2,241.00	$2,801.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,607.40 / $1,893.80 / $2,006.00	Professional		$1,607.40	$1,893.80	$2,006.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,079.01 / $2,199.60 / $7,602.61	Facility		$1,079.01	$2,199.60	$7,602.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $808.88 / $1,029.34 / $2,311.77	Professional		$808.88	$1,029.34	$2,311.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,855.75 / $1,861.20 / $2,230.66	Facility		$1,855.75	$1,861.20	$2,230.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,524.34 / $2,174.13 / $3,556.74	Professional		$1,524.34	$2,174.13	$3,556.74
United Facility/Professional Professional Modifier Low / Median / High Price $808.88 / $852.78 / $1,990.86	Professional		$808.88	$852.78	$1,990.86
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,658.16 / $1,658.16 / $1,658.16	Facility		$1,658.16	$1,658.16	$1,658.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,309.95 / $1,658.16 / $1,658.16	Professional		$1,309.95	$1,658.16	$1,658.16